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MASON DISTRICT HOSPITAL
NPI 1689823866
Ambulance in Havana, IL

Active since September 12, 2008
615 N PROMENADE ST, HAVANA, IL 62644(309) 543-4431(309) 543-8528 Get Directions Write a Review

NPPES record last updated: September 12, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mason District Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MASON DISTRICT HOSPITAL (NPI 1689823866) is a healthcare organization registered as an ambulance in Havana, Illinois and active in the NPI registry since September 2008. The organization lists Robert J Stolba, Cfo, as its authorized official.

NPPES Registry Identity

NPI1689823866
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameMASON HOSPITAL DISTRICT
Location Address615 N PROMENADE STHavana, IL 62644-1243
Mailing Address615 N Promenade St, Po Box 530Havana, IL 62644-1243 · (309) 543-4431 · Fax (309) 543-8528
Phone(309) 543-4431
Fax(309) 543-8528
Organization SubpartNo
Authorized OfficialRobert J StolbaCfo · (309) 543-8505
Enumeration DateSeptember 12, 2008
✔ NPI 1689823866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
Definition
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
615 N PROMENADE ST, Havana, IL 62644
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Other Names 1

Doing Business AsMason District Hospital

Other Identifiers 2

Medicaid=========001IL
Medicare OSCAR/certification141313IL

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mason District Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Mason District Hospital, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Atif Raja, M.D.
Family Practice
NPI 1689815193
238 S CONGRESS ST
Rushville, IL 62681
(217) 322-4321
✔ PECOS✔ Accepts Medicare30 mi
Robin Alley, MD
General Surgery
NPI 1659689461
1001 MAIN ST STE 300
Peoria, IL 61606
(309) 495-0200
✔ PECOS✔ Accepts Medicare36 mi
Joshua Newman, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1043583479
800 E CARPENTER ST
Springfield, IL 62769
(217) 525-5643
✔ PECOS✔ Accepts Medicare41 mi
Nicholas Reinhart, D.O.
Emergency Medicine
NPI 1942525878
101 SOUTH MAJOR STREET 101 SOUTH MAJOR STREET
Eureka, IL 61530
(309) 467-4145
✔ PECOS✔ Accepts Medicare50 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mason Hospital District's NPI number?

The NPI number for Mason Hospital District is 1689823866. It was assigned to this organization in the NPPES registry on September 12, 2008. The provider is doing business as Mason District Hospital.

Where is Mason Hospital District located?

Mason Hospital District is located at 615 N Promenade St, Havana, IL 62644. The listed phone number is (309) 543-4431.

What is Mason Hospital District's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Is Mason Hospital District enrolled in Medicare?

Yes. Mason Hospital District is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mason Hospital District?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Mason Hospital District, in Certified Registered Nurse Anesthetist (CRNA), Emergency Medicine, Family Practice and General Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mason Hospital District was last updated on September 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.